SU MCNEILL, DMD, PLLC (NPI# 1053853911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053853911 |
| Entity Type | Organization |
| Organization Name | SU MCNEILL, DMD, PLLC |
| Other Organization Name | O'KEEFE FAMILY DENTAL |
| Practice Address |
1232 W Little Creek Rd Norfolk VA 23505-1952 |
| Practice Telephone | 7574407955 |
| Practice Fax Number | 7574895834 |
| Mailing Telephone | 7574407955 |
| Mailing Fax Number | 7574895834 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | BETH TELES (SR. CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4107106005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412524 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| O'Keefe Family Dental | Doing Business As Name - Organization |
| Street Address |
1232 W LITTLE CREEK RD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578563581 | Arsenio M Ong | Family Medicine | 1232 W Little Creek Rd, Suite 300, Norfolk, VA 23505-1952 | 2005-08-01 |
| 1538287123 | Edward Sills O Keefe | Dentist | 1232 W Little Creek Rd, Norfolk, VA 23505 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050140 | Brittany Ann Albers | Dentist | 3600 W Norfolk Ave, Norfolk, NE 68701-7702 | 2020-07-08 |
| 1154966323 | Lacey Ryan | Dentist | 1647 Admiral Taussig Blvd # Cd3, Norfolk, VA 23511-2803 | 2019-11-12 |
| 1346882479 | Dayoung Nmn Pierce | Dentist | 145 Granby St Apt 612, Norfolk, VA 23510-1662 | 2019-10-10 |
| 1013558576 | Jasmine Schneider | Dentist | 7923 Halprin Dr, Norfolk, VA 23518-3005 | 2019-10-04 |
| 1386110781 | Jae H Park | Dentist | 1637 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2018-10-23 |
| 1306363023 | Vincent Ignatius Floeder | Dentist | 1949 Admiral Taussig Blvd S, Norfolk, VA 23511-3425 | 2017-08-23 |
| 1760905350 | Alexandra Schott | Dentist | 1564 Admiral Taussig Blvd, Norfolk, VA 23511-2606 | 2017-07-25 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1871839498 | Edward J. Weisberg,d.d.s. | Dentist | 801 W Little Creek Rd Ste 103, Norfolk, VA 23505-2036 | 2012-12-31 |
| 1578822284 | Jamie Elizabeth Roberts | Dentist | 401 Connecticut Ave, Norfolk, VA 23508-2703 | 2012-05-15 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.